JAY ADAM DEHART

CHICAGO, IL
NPI1457647539
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  019028711)
Enumeration Date2011-06-27
Last Update Date2011-06-30
Business Address
Dr. JAY ADAM DEHART D.D.S
4516 S DAMEN AVE
CHICAGO, IL 60609-3013
Phone number: 920-838-1649
Mailing Address
Dr. JAY ADAM DEHART D.D.S
430 W ERIE ST SUITE 200
CHICAGO, IL 60654-6914
Phone number: